CQC report explained · a residential care home
What the CQC found at South Moor Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, visitor checks, testing, protective equipment, hygiene, social distancing and vaccination requirements. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This question was not inspected in this targeted visit.
- Caring?
- Good
- This question was not inspected in this targeted visit, although inspectors noted support for people to stay connected with friends and relatives.
- Responsive?
- Good
- This question was not inspected in this targeted visit. The report noted that visits, video calls, phone calls and letters were supported.
- Well-led?
- Good
- This question was not inspected in this targeted visit.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control and support for contact with family.
This was an announced, targeted inspection on 20 January 2022. Inspectors gave 24 hours’ notice. They looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors said the home was following government guidance. They were assured about visitor checks, testing, vaccination checks, personal protective equipment, cleaning, social distancing and managing outbreaks.
People were supported to keep in touch with relatives and friends through visits, video calls, phone calls and letters. The service was inspected but not rated, so this report does not give a full rating of the home’s overall quality.
Infection controls
The home had checks and procedures covering visitors, staff, testing, protective equipment, hygiene, admissions and outbreak management.
“comprehensive checks for visitors and staff on arrival to the home” from the report
Keeping families connected
People were supported to maintain contact with friends and relatives in several ways.
“supported people who lived there to remain connected with friends and relatives through visits, video calls, phone calls and letters.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures linked to COVID-19 or other absences?
- 02What checks, testing and vaccination requirements currently apply to staff and visitors?
- 03How are visits arranged now, and what happens if there is an infection outbreak?
- 04How do you support residents who want to use video calls, phone calls or letters?
- 05What infection prevention measures are used when someone is admitted to the home?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other questions were not inspected. This explanation was written from the published report of 11 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, May 2018
Rated Good; inspectors found safe, kind and well-managed care, with some care record improvements still in progress.
This was an unannounced inspection. Inspectors spoke with people living at the home, relatives, staff, the manager and a visiting health professional. They observed care and checked care records, medicines records, staffing, safety checks, complaints and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, supported by trained staff, treated with kindness and given care that reflected their needs and choices.
The previous inspection in January 2017 rated the home Requires Improvement. Inspectors had found breaches involving safety, consent, safeguarding and quality monitoring. At this inspection, they found the required improvements had been made.
Safe staffing and care
People and relatives said staffing had improved. Inspectors found staff understood people's risks and followed their care plans.
“Staffing arrangements were safe and sufficient.” from the report
Kind and respectful staff
Staff treated people with dignity and knew their preferences. Inspectors saw caring and sensitive interactions.
“People received care from kind, caring staff who treated people with respect and ensured their dignity, privacy and rights were met.” from the report
Personalised support
Staff adapted communication and support to individual needs. People were helped to remain independent and take part in activities if they wished.
“People received timely, individualised care, which promoted their independence, known daily living and lifestyle preferences.” from the report
Improved management oversight
The provider introduced regular checks of care quality, medicines, staffing, nutrition, accidents, complaints and the environment.
“We found improvements were made for the consistent management and oversight of the service; which helped to consistently ensure the quality and safety of people's care.” from the report
Care plan records still being improved
needs fixingFurther improvements to some people's care plan records were still in progress. Ask to see how these records are kept accurate and up to date now.
“Further record keeping improvements were in progress in relation to some people's care plans where required, with recorded management oversight and monitoring to ensure this was achieved.” from the report
- 01What care plan record keeping improvements were still outstanding at the inspection, and have they now been completed?
- 02How are staffing levels reviewed when people's needs change or more people need support at the same time?
- 03How do you check that risk assessments, medicines records and nutrition records remain accurate and up to date?
- 04How do staff support people who cannot communicate verbally or who may become distressed?
- 05How are consent, best-interest decisions and any Deprivation of Liberty Safeguards arrangements reviewed for my relative?
This was an unannounced comprehensive inspection covering the premises and care, with ratings given for all five key questions; the report gives the visit dates as 12 March 2018 and 23 March 2018. This explanation was written from the published report of 18 May 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of South Moor Lodge Care Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- March 2015
Registered with the Care Quality Commission on 16 March 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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